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https://www.readbyqxmd.com/read/29443458/the-functional-and-psychological-burden-of-empty-nose-syndrome
#1
Jamil Manji, Jayakar V Nayak, Andrew Thamboo
BACKGROUND: Empty nose syndrome (ENS) is a debilitating disorder thought to arise as a postsurgical phenomenon from excessive loss of nasal tissues. Affected patients often report a profound impact on all aspects of life, but the extent of this burden has not been quantified. We sought to determine the association of ENS with mental health and functional impairments. METHODS: A cross-sectional study was performed of individuals with ENS recruited from online ENS forums...
February 14, 2018: International Forum of Allergy & Rhinology
https://www.readbyqxmd.com/read/29442216/psychiatric-comorbidities-among-patients-undergoing-liver-transplantation-in-south-korea-a-nationwide-population-based-study
#2
Jaesung Heo, O Kyu Noh, Young-Taek Oh, Mison Chun, Logyoung Kim
OBJECTIVES: The aim of this study was to analyze the prevalence of mental disorders in patients undergoing liver transplantation (LT) based on claims data from the Health Insurance Review and Assessment Service (HIRA) in South Korea. METHODS: We confirmed mental disorders in a nationwide cohort of 3758 patients receiving LT between January 2010 and December 2014. We categorized the prevalence of mental disorders based on patient age at the time of LT. RESULTS: A total of 288 patients for LT were diagnosed with a mental disorder 1 year before their cancer diagnosis...
February 13, 2018: Hepatology International
https://www.readbyqxmd.com/read/29439840/randomized-trial-evaluating-the-effectiveness-of-coloring-on-decreasing-anxiety-among-parents-in-a-pediatric-surgical-waiting-area
#3
Elizabeth M Robinson, Rachel Baker, Md Monir Hossain
Anxiety is common among pediatric surgical patients and their parents. Numerous studies have examined interventions to reduce pediatric patients' anxiety; however, less is known about reducing parental anxiety. In other populations, producing art has been shown to significantly reduce anxiety. PURPOSE: This study aimed to determine whether parents' anxiety decreased after coloring while their child is in surgery. DESIGN AND METHODS: A block randomized controlled trial was conducted with a convenience sample of 106 parents of children who were having a scheduled surgery...
February 10, 2018: Journal of Pediatric Nursing
https://www.readbyqxmd.com/read/29436490/subthalamic-stimulation-and-neuropsychiatric-symptoms-in-parkinson-s-disease-results-from-a-long-term-follow-up-cohort-study
#4
Marie Abbes, Eugénie Lhommée, Stéphane Thobois, Hélène Klinger, Emmanuelle Schmitt, Amélie Bichon, Anna Castrioto, Jing Xie, Valérie Fraix, Andrea Kistner, Pierre Pélissier, Éric Seigneuret, Stéphan Chabardès, Patrick Mertens, Emmanuel Broussolle, Elena Moro, Paul Krack
BACKGROUND: Reports on behavioural outcomes after subthalamic nucleus deep brain stimulation in Parkinson's disease are controversial and limited to short-term data. Long-term observation in a large cohort allows a better counselling and management. METHODS: To determine whether a long-term treatment with subthalamic stimulation induces or reduces impulse control behaviours, neuropsychiatric fluctuations and apathy, 69 patients treated with subthalamic stimulation are prospectively and retrospectively assessed using Ardouin Scale of Behavior in Parkinson's Disease before and after 3-10 years of stimulation...
February 7, 2018: Journal of Neurology, Neurosurgery, and Psychiatry
https://www.readbyqxmd.com/read/29434661/novel-techniques-for-intraoperative-assessment-of-margin-involvement
#5
REVIEW
Dorin Dumitru, Michael Douek, John R Benson
Breast conserving surgery (BCS) is now the standard of care for the majority of women with early stage breast cancer. There is a finite rate of ipsilateral breast tumour recurrence (IBTR) for breast conserving therapy (BCT) with annual rates of less than 1% for specialist breast practices. There has been recent consensus on the definition of an adequate resection margin for both invasive and noninvasive breast cancer treated with BCS, although some variation in margin policy persists with definitions of 'no tumour at ink', 1 and 2 mm margin mandates...
2018: Ecancermedicalscience
https://www.readbyqxmd.com/read/29428831/assessment-of-the-pneumatic-ischemia-technique-using-the-limb-occlusion-pressure-during-upper-limb-surgery
#6
María Sáenz-Jalón, María Ángeles Ballesteros-Sanz, Carmen María Sarabia-Cobo, Elena Roscales-Bartolomé, Marta Santiago Fernández, Gema Canal-Cobo, Carmen Higuero-Piris, Begoña Vélez-Carrera, Gema V Sanjuan, Sandra García-Cobo, Blanca Torres-Manrique, María Eugenia Miguel Martín
PURPOSE: The purpose of our study was to evaluate effective ischemia and its associated complications using the limb occlusion pressure technique versus standard pneumatic ischemia technique. DESIGN: Single-centered randomized, controlled clinical trial. METHODS: One hundred sixty participants were randomized into two equal and parallel groups: (1) intervention group-LOP technique, and (2) control group-standard pneumatic ischemia technique...
October 4, 2017: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
https://www.readbyqxmd.com/read/29428181/why-is-this-auntminnie-a-diagnostic-conundrum-a-knowledge-based-approach-to-balo-s-concentric-sclerosis-from-reports-of-3-cases-and-pooled-data-from-68-other-patients-in-the-literature
#7
REVIEW
Mohit Agarwal, John L Ulmer, Andrew P Klein, Leighton P Mark
INTRODUCTION: We came across 3 cases of Balo's concentric sclerosis (BCS). The first of these patients presented to an outside hospital and was transferred to our institution due to complications resulting from a biopsy. The other 2 patients, despite having a characteristic imaging appearance and despite insistence on our part on the diagnosis of BCS, underwent a surgical procedure, which could have been prevented. This led us to review the available literature on BCS. MATERIAL AND METHODS: A total of 68 patients diagnosed with BCS between 1995 and 2015 were studied and the data collected for the clinical presentation and course, imaging, spinal fluid analysis, treatment, and clinical and imaging outcome...
January 6, 2018: Current Problems in Diagnostic Radiology
https://www.readbyqxmd.com/read/29425387/intraoperative-patient-experience-and-postoperative-visual-quality-after-smile-and-lasik-in-a-randomized-paired-eye-controlled-study
#8
Iben B Damgaard, Marcus Ang, Mohamed Farook, Hla M Htoon, Jodhbir S Mehta
PURPOSE: To compare intraoperative and postoperative subjective patient experience after small incision lenticule extraction (SMILE) and femtosecond laser-assisted LASIK. METHODS: In a prospective, randomized, paired-eye, single-masked clinical trial at Singapore National Eye Centre, 70 patients were randomly treated with SMILE and LASIK in each eye. The intraoperative questionnaire was completed immediately after surgery and included light perception and levels of anxiety, fear, and discomfort...
February 1, 2018: Journal of Refractive Surgery
https://www.readbyqxmd.com/read/29425377/quality-of-life-among-men-with-low-risk-prostate-cancer-during-the-first-year-following-diagnosis-the-prepare-prospective-cohort-study
#9
Kathryn L Taylor, George Luta, Richard M Hoffman, Kimberly M Davis, Tania Lobo, Yingjun Zhou, Amethyst Leimpeter, Jun Shan, Roxanne E Jensen, David S Aaronson, Stephen K Van Den Eeden
As many as 40% of men diagnosed with prostate cancer have low-risk disease, which results in the need to decide whether to undergo active treatment (AT) or active surveillance (AS). The treatment decision can have a significant effect on general and prostate-specific quality of life (QOL). The purpose of this study was to assess the QOL among men with low-risk prostate cancer during the first year following diagnosis. In a prospective cohort study, we conducted pretreatment telephone interviews (N = 1,139; 69...
February 7, 2018: Translational Behavioral Medicine
https://www.readbyqxmd.com/read/29424629/parental-satisfaction-with-being-present-in-the-operating-room-during-the-induction-of-anesthesia-prior-to-pediatric-neurosurgical-intervention-a-qualitative-analysis
#10
Hena Waseem, Rachael S Mazzamurro, Alec H Fisher, Subasish Bhowmik, Rifat A Zaman, Angeline Andrew, David F Bauer
OBJECTIVE Parental presence in the operating room during the induction of anesthesia (PPIA) has been shown to decrease parent and child anxiety and increase satisfaction with patient experience in outpatient otolaryngological procedures, such as tympanostomy tube placement. PPIA for other procedures, such as a major neurosurgical intervention, has been a practice at the authors' institutions for many years. This practice is not universally accepted across the United States, and the potential benefits for patients and families have not been formally evaluated...
February 9, 2018: Journal of Neurosurgery. Pediatrics
https://www.readbyqxmd.com/read/29424236/home-based-pre-surgical-psychological-intervention-for-knee-osteoarthritis-happiknees-a-feasibility-randomized-controlled-trial
#11
Roshan das Nair, Jacqueline R Mhizha-Murira, Pippa Anderson, Hannah Carpenter, Simon Clarke, Sam Groves, Paul Leighton, Brigitte E Scammell, Gogem Topcu, David A Walsh, Nadina B Lincoln
OBJECTIVE: To determine the feasibility of conducting a trial of a pre-surgical psychological intervention on pain, function, and mood in people with knee osteoarthritis listed for total knee arthroplasty. DESIGN: Multi-centre, mixed-methods feasibility randomized controlled trial of intervention plus usual care versus usual care. SETTING: Participants' homes or hospital. PARTICIPANTS: Patients with knee osteoarthritis listed for total knee arthroplasty and score >7 on either subscales of Hospital Anxiety and Depression Scale...
February 1, 2018: Clinical Rehabilitation
https://www.readbyqxmd.com/read/29419714/the-impact-of-comorbid-mental-health-disorders-on-complications-following-adult-spinal-deformity-surgery-with-minimum-2-year-surveillance
#12
Bassel G Diebo, Joshua D Lavian, Daniel P Murray, Shian Liu, Neil V Shah, George A Beyer, Frank A Segreto, Lee Bloom, Dennis Vasquez-Montes, Louis M Day, Douglas A Hollern, Samantha R Horn, Qais Naziri, Daniel Cukor, Peter G Passias, Carl B Paulino
STUDY DESIGN: Retrospective analysis OBJECTIVE.: To compare long-term outcomes between patients with and without mental health comorbidities who are undergoing surgery for adult spinal deformity (ASD). SUMMARY OF BACKGROUND DATA: Recent literature reveals that one in three patients admitted for surgical treatment for ASD has comorbid mental health disorder. Currently, impacts of baseline mental health status on long-term outcomes following ASD surgery have not been thoroughly investigated...
February 6, 2018: Spine
https://www.readbyqxmd.com/read/29419656/psychological-factors-predict-an-unfavorable-pain-trajectory-after-hysterectomy-a-prospective-cohort-study-on-chronic-post-surgical-pain
#13
Patrícia R Pinto, Teresa McIntyre, Vera Araújo-Soares, Armando Almeida, Patrício Costa
Chronic post-surgical pain (CPSP) is a well-recognized potential complication with negative personal, social and healthcare consequences. However, limited data exists on CPSP and on the course of pain over time after hysterectomy. Using data from a prospective cohort study on a consecutive sample assessed at 4 time points, pre-surgery (T1), 48 hours (T2), 4 months (T3), and 5 years post-surgery (T4), we sought to examine women's post-surgical pain trajectories using assessments of pain at T3 and T4. Additionally, this study aimed to investigate pre-surgical and post-surgical risk factors associated with an unfavourable pain trajectory (PT)...
February 5, 2018: Pain
https://www.readbyqxmd.com/read/29419627/complex-regional-pain-syndrome-after-distal-radius-fracture-is-uncommon-and-is-often-associated-with-fibromyalgia
#14
Tom J Crijns, Bonheur A T D van der Gronde, David Ring, Nina Leung
BACKGROUND: Complex regional pain syndrome (CRPS) is frequently diagnosed in patients recovering from surgery or injury. The symptoms and signs included in consensus diagnostic criteria for CRPS are expected after injury. Categorizing symptoms and signs that occur on a continuum as disproportionate or not is subjective and prone to bias. Psychiatrists and psychologists do not diagnose CRPS and instead measure and treat anxiety and catastrophic thinking on its continuum. Given the expected variation in subjective diagnoses such as CRPS, this study addresses factors associated with use of this diagnosis and how it influences care...
February 5, 2018: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/29419468/disparities-in-outcomes-for-blacks-versus-whites-undergoing-total-hip-arthroplasty-a-systematic-literature-review
#15
Bella Y Mehta, Anne R Bass, Rie Goto, Linda A Russell, Michael L Parks, Mark P Figgie, Susan M Goodman
OBJECTIVE: Total hip replacement (THA) surgery is a successful procedure, yet blacks in the United States undergo THA less often and reflect poorer outcomes than whites. The purpose of this study is to systematically review the literature on health-related quality of life after THA, comparing blacks and whites. METHODS: A librarian-assisted search was performed in Medline through PubMed, Embase, and Cochrane Library on February 27, 2017. Original cohort studies examining pain, function, and satisfaction in blacks and whites 1 year after elective THA were included...
February 1, 2018: Journal of Rheumatology
https://www.readbyqxmd.com/read/29417489/problematic-eating-behaviors-predict-outcomes-after-bariatric-surgery
#16
Lisa R Miller-Matero, Kelly Bryce, Caroline K Saulino, Kate E Dykhuis, Jeffrey Genaw, Arthur M Carlin
BACKGROUND: There are no clear psychosocial predictors of weight loss following bariatric surgery. The purpose of this study was to investigate whether preoperative problematic eating behaviors predict weight loss outcomes following bariatric surgery. METHODS: Clinical records were utilized to examine outcomes of 101 patients who completed a pre-surgical psychosocial evaluation and underwent gastric bypass or sleeve gastrectomy. Information analyzed included binge eating history and scores from the Hospital Anxiety and Depression Scale, Yale Food Addiction Scale, and Emotional Eating Scale...
February 7, 2018: Obesity Surgery
https://www.readbyqxmd.com/read/29416453/effect-of-dexmedetomidine-on-emergence-agitation-using-desflurane-in-pediatric-cataract-surgery
#17
Shikha Jain, Sameer Sethi, Babita Ghai, Jagat Ram
Background: In this study, we compared effectiveness of two doses of dexmedetomidine (0.15 μg/kg and 0.3 μg/kg) in preventing desflurane-induced emergence agitation (EA) in pediatric patients undergoing elective cataract surgery. Methods: It is a prospective double-blinded randomized study conducted on 65 American Society of Anesthesiologists 1 children (2-10 years) who underwent elective cataract surgery at our institute. They were randomized into two equal groups, who received either dexmedetomidine 0...
January 2018: Saudi Journal of Anaesthesia
https://www.readbyqxmd.com/read/29416346/prediction-of-emergence-agitation-using-withdrawal-reaction-following-rocuronium-injection-in-preschool-aged-patients-undergoing-inguinal-herniorrhaphy-a-preliminary-exploratory-observational-trial
#18
Dae Hee Kim, Go Un Roh, Young Bok Lee, Chang Ik Choi, Jae Moon Lee, Yun Jeong Chae
Purpose: The development of emergence agitation (EA) is associated with several factors including age, preoperative anxiety, postoperative pain, anesthesia method, and surgery type. No studies have investigated whether the withdrawal reaction following rocuronium injection can predict the occurrence of EA. Therefore, we investigated this relationship in preschool-aged children undergoing inguinal herniorrhaphy, and which grade of withdrawal reaction is appropriate for identifying patients at risk of experiencing EA...
2018: Therapeutics and Clinical Risk Management
https://www.readbyqxmd.com/read/29416174/considerations-for-the-long-term-treatment-of-pediatric-sarcoma-survivors
#19
Kurt R Weiss, Melissa N Zimel
Sarcomas are primary malignancies of the connective tissues. They are exceedingly rare in adults, but much more common in children. The historically recent advent of cytotoxic chemotherapy for pediatric sarcomas has revolutionized the treatment of these diseases and dramatically improved their prognoses. There is thus a population of pediatric sarcoma survivors that are "coming of age" as adults. However, this progress is not without consequences. Due to aggressive treatment protocols that include various combinations of surgery, chemotherapy, and radiation therapy, pediatric sarcoma survivors are at risk of myriad physical, medical, and psychological difficulties as they enter adulthood...
January 2018: Indian Journal of Orthopaedics
https://www.readbyqxmd.com/read/29412324/-women-s-experience-with-cesareans-in-uruguay-the-woman-s-right-to-be-accompanied-by-a-person-of-her-choice-and-difficulties-with-enforcement
#20
Carolina Farías, Alejandra López Gómez
The article aims to analyze how women are accompanied by a trusted person during cesareans, as guaranteed under Law 17,386 on "accompanying persons during labor and childbirth", enacted in Uruguay in 2001. The findings are part of a larger study on the experience and meaning of cesareans for Uruguayan women. An exploratory, descriptive qualitative methodology was used for this purpose. The technique involved in-depth interviews with 31 women whose cesareans were performed in their first pregnancy in the city and greater metropolitan area of Montevideo...
February 5, 2018: Cadernos de Saúde Pública
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